A recent study published in the American Diabetes Association’s (ADA) journal Diabetes Care (http://care.diabetesjournals.org/content/early/2019/05/28/dc19-0296) using 2000-2015 USRDS data has shown that the rates of nontraumatic lower-extremity amputation (NLEA) among adults with ESRD and diabetes fell 44% between 2000 and 2013 from 7.5 to 4.2 NLEA per 100 person-years, while NLEA among ESRD patients without diabetes declined 31% over the same period, from 1.6 to 1.1 per 100 person-years. Both reductions were highly statistically significant. However, both rates flat-lined after 2013.

CDC has urged everyone to avoid all Romaine Lettuce until further notice, as it is the leading suspect in a multi-state outbreak of Shiga toxin producing Escherichia coli O157:H7 (E. coli O157:H7) infections, and a specific source has not been identified. CDC recommends that drawers and shelves that held Romaine be sanitized. They also recommend that antibiotics NOT be used for this type of infection, as the combination can result in kidney failure, and no benefits have been demonstrated. For detailed instructions, see https://www.cdc.gov/ecoli/2018/o157h7-11-18/index.html.